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Showing results for "occur".

41. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47919/psn-pdf
    April 03, 2019 - They encourage continued use of the aviation metaphor to illustrate why medical errors occur and how … when done correctly, can help health care systems identify safety hazards, regain trust after they occur

42. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49421/psn-pdf
    October 01, 2003 - Approximately 8%-9% of adverse events occur in physicians’ offices.(1) Recent studies have examined … ordered annually in primary care practices, yet little is known about how often laboratory errors occur … Because of improvements in and automation of laboratory procedures, most laboratory errors occur during … This patient verification should occur at the time a specimen is labeled, and the label should include … key issue is that outpatient clinics and labs should have methods to capture these errors when they occur

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47291/psn-pdf
    October 31, 2018 - Little is known about the epidemiology of hospital suicides other than that they are rare and occur … Nationally, between 49 and 65 hospital suicides occur each year.

44. Creating a safer health care system: finding the constraint. | PSNet
    psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
    February 24, 2011 - This theory asks the question of what should change, to what should it change, and how should change occur … Responses are framed with discussion of six thought processes that must occur at an organization for

45. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35927/psn-pdf
    February 17, 2011 - Healthcare Research and Quality–supported study discovered that claims without clear evidence of error do occur … On the other hand, the majority of expenditures toward litigation occur in cases of errors in which

46. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45255/psn-pdf
    January 23, 2017 - Although most mistakes occur during the prescribing and transcribing stages, errors during the administration … process occur frequently as well.

47. Systems Approach | PSNet
    psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - The systems approach holds that efforts to catch human errors before they occur or block them from causing … Active errors almost always involve frontline personnel and occur at the point of contact between a human … In this construct, slips represent failures of schematic behaviors, or lapses in concentration, and occur … FMEA begins with identifying all the steps that must occur for a given process to occur.

48. Urine a Tough Position | PSNet
    psnet.ahrq.gov/web-mm/urine-tough-position
    January 01, 2009 - Approximately 8%-9% of adverse events occur in physicians’ offices.( 1 ) Recent studies have examined … are ordered annually in primary care practices, yet little is known about how often laboratory errors occur … Because of improvements in and automation of laboratory procedures, most laboratory errors occur during … This patient verification should occur at the time a specimen is labeled, and the label should include … key issue is that outpatient clinics and labs should have methods to capture these errors when they occur

49. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet
    psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
    September 01, 2016 - Although most mistakes occur during the prescribing and transcribing stages, errors during the administration … process occur frequently as well.

50. Looking for Meds in All the Wrong Places | PSNet
    psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
    June 16, 2021 - As a result, medication errors occur regularly in the ED, ranging from about 5.4 to 16.1 medication errors … also need to be aware of high-alert medications, which can have catastrophic consequences if errors occur … Mistakes with medications occur not because a clinician has been incompetent by making an error, but … their own risks for medication errors, it is important to acknowledge that medication errors generally occur … Medication errors generally occur as a result of system failures rather than faults produced by particular

51. Responding to Patient Safety Events | PSNet
    psnet.ahrq.gov/primer/responding-patient-safety-events
    October 18, 2023 - Background Patient safety events that occur in health care facilities require prompt action to ensure … If indicated, early compensation could occur in the form of waiving hospital bills while the healthcare … This especially tends to occur in situations where the healthcare staff bonds with a patient or family

52. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet
    psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - June 10, 2018 Tapping front-line knowledge: identifying problems as they occur helps … September 27, 2016 When errors occur.

53. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet
    psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
    September 15, 2024 - wrong-procedure, wrong-patient errors" (WSPEs) are rightly termed never events —errors that should never occur … A seminal study estimated that such errors occur in approximately 1 of 112,000 surgical procedures, … It is worth noting, however, that many cases of WSPEs would still occur despite full adherence to the

54. Systematic evaluation of errors occurring during the preparation of intravenous medication. | PSNet
    psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…

55. Classification of adverse events occurring in a surgical intensive care unit. | PSNet
    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

56. Medication errors occurring with the use of bar-code administration technology. | PSNet
    psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
    March 18, 2010 - Newspaper/Magazine Article Medication errors occurring with the use of bar-code administration technology. Citation Text: Medication errors occurring with the use of bar-code administration technology. PA-PSRS Patient Saf Advis. December 2008;5:122-126. Copy Citation …

57. Claims, errors, and compensation payments in medical malpractice litigation. | PSNet
    psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation
    March 02, 2011 - Healthcare Research and Quality–supported study discovered that claims without clear evidence of error do occur … On the other hand, the majority of expenditures toward litigation occur in cases of errors in which compensation

58. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/855058/psn-pdf
    October 31, 2023 - we think that certain units may have a patient population that may predispose workplace violence to occur … Opportunities for workplace violence occur in long-term care facilities because of their patient https … In recent years, in addition to workplace violence events that may occur in healthcare organizations … challenges with reporting and making it easier for clinicians to report acts of violence when they occur … Having reporting systems in place that facilitate the reporting of events when they actually occur is

59. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - As a result, medication errors occur regularly in the ED, ranging from https://psnet.ahrq.gov/web-mm … also need to be aware of high-alert medications, which can have catastrophic consequences if errors occur … Mistakes with medications occur not because a clinician has been incompetent by making an error, but … their own risks for medication errors, it is important to acknowledge that medication errors generally occur … Medication errors generally occur as a result of system failures rather than faults produced by particular

60. Heed this warning! Don't miss important computer alerts. | PSNet
    psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
    May 07, 2018 - May 7, 2018 Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing … June 16, 2019 Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing